Active NPI
Zelma Katherine Randall, FNP
- Nurse Practitioner
- Clinton, LA
National Provider Identifier
1689664104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 325141986
- Practice address
- 11990 Jackson St
Clinton, LA 70722-3210 - Phone
- (225) 968-5292
- Fax
- (225) 683-3411
- NPI assigned
- Oct 26, 2005
- Last updated
- May 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 325141986 | LA | Primary |
Addresses
Primary practice location
11990 Jackson St
Clinton, LA 70722-3210
Mailing address
P. O. Box 395
Clinton, LA 70722-3210
Phone (225) 968-5292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1995827 | Medicaid | LA |
Other names 1
- Zelma Katherine Dicharry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325141986 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Emergency Physician Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1992758247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1689664104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 395",
"city": "CLINTON",
"state": "LA",
"postal_code": "707223210",
"telephone_number": "225-968-5292",
"fax_number": "225-683-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11990 JACKSON ST",
"city": "CLINTON",
"state": "LA",
"postal_code": "707223210",
"telephone_number": "225-968-5292",
"fax_number": "225-683-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "ZELMA",
"middle_name": "KATHERINE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "325141986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1995827",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ZELMA",
"last_name": "DICHARRY",
"middle_name": "KATHERINE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clinton, LA
- Taylor Tynes Priest, RN
- Primary Care Providers for a Healthy Feliciana Inc (RKM Primary Care)
- Primary Care Providers for a Healthy Feliciana, Inc (Clinton Middle Health Center)
- Primary Care Providers for a Healthy Feliciana, Inc. (Clinton Lower Health Center)
- Primary Care Providers for a Healthy Feliciana, Inc. (Clinton High Health Center)
- Catrina Ratliff, D.D.S.
- Redemption Home Health
- Pamela S Reed, LCSW
- Richard Rathbone, M.D. - AMC (Rathbone Clinic)
- Melissa Jones Rivet, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.